Job Application
BeeLeaf Lawn M&M LLC is an equal opportunity employer. This application will not be used for limiting or excluding any applicant consideration for employment on a basis prohibited by local, state or federal law. Should an applicant need reasonable acommodation in the application process, he or she should contact a company representative.
Applicant Information
Please fill out all the sections below.
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Employment Position
Please fill out all the sections below.
Date of Application
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How Did you hear about this position?
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What days are you available for work?
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What hours or shift are you available for work?
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If needed, are you available to work overtime?
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On what date can you start working if you are hired?
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Do you have reliable transportation to and from work?
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What are your salary expectations?
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Personal Information
Please fill out all the sections below.
Have you ever applied to or worked for BeeLeaf M&M LLC before?
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Yes
No
If Yes, when:
Do you have any friends, relatives, or acquantances working for BeeLeaf M&M LLC?
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Yes
No
If Yes, state name & relationship:
Are you 18 years of age or older?
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Yes
No
Are you a U.S. citizen or approved to work in the United States?
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Yes
No
What document can you provide as proof of citizenship or legal status?
Will you consent to a mandatory controlled substance test?
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Yes
No
Do you have any condition which would require job accommodations?
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Yes
No
If yes, please describe accommodations required below.
Have you ever been convicted of a criminal offense (felony or misdemeanor)?
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Yes
No
If yes, please stat the nature of the crime(s), when and where convicted and disposition of the case:
Note
No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense , the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstance and the relevance of the offense to the position(s) applied for may, however, be considered.)
Job Skills/Qualifications
Please list below the skills and qualifications you possess for the position for which you are applying:
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Note
BeeLeaf Lawn M&M LLC complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical exam conducted by a medical professional.)
Education & Training
High School
Name
Location (City, State)
Year Graduated
Degree Earned
College/University
Name
Location (City State)
Year Graduated
Degree Earned
Vocational School/Specialized Training
Name
Location (City, State)
Year Graduated
Degree Earned
Military
Are you a member of the Armed Services?
What branch of military did you enlist?
What was the military rank when discharged?
How many years did you serve in the military?
What military skills do you possess that would be an asset for this position?
Previous Employment
Employer Name 1
Job Title
Supervisor Name
Employer Address
City, State and Zip Code
Employer Telephone
Dates Employed
Reason For Leaving
Previous Employment 2
Employer Name
Job Title
Supervisor Name
Employer Address
City, State and Zip Code
Employer Telephone
Dates Employed
Reason For Leaving
Employer 3
Job Title
Supervisor Name
Employer Address
City, State and Zip Code
Employer Telephone
Dates Employed
Reason For Leaving
References
Please provide 2 personal and professional reference(s) below.
Reference 1
Contact Information
Reference 2
Contact Information
At-Will Employment
The relationship between you and the BeeLeaf Lawn M&M LLC is referred to as "Employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the BeeLeaf Lawn M&M LLC. No representative of BeeLeaf Lawn M&M LLC has authority to enter into an agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will, and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chielf Operations Officer or the Company's President.
Applicant Signature
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Date of Submission
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Submit
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